Rectal atresia and stenosis: unique anorectal malformations
| Autor: | Miller Hamrick, Emily Louden, Marc A. Levitt, Alberto Peña, Andrea Bischoff, Bala Eradi |
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| Rok vydání: | 2012 |
| Předmět: |
Male
medicine.medical_specialty Delayed Diagnosis Intestinal Atresia Soft Tissue Neoplasms Constriction Pathologic Anastomosis Preoperative care Postoperative Complications Colostomy Preoperative Care medicine Humans Abnormalities Multiple Neural Tube Defects Defecation Sacrococcygeal Region business.industry Dissection Anastomosis Surgical Suture Techniques Infant Newborn Rectovaginal Fistula Rectum Teratoma General Medicine Anal canal medicine.disease Rectal atresia Surgery Stenosis medicine.anatomical_structure Atresia Pediatrics Perinatology and Child Health Female Radiology Imperforate anus business Constipation |
| Zdroj: | Journal of Pediatric Surgery. 47:1280-1284 |
| ISSN: | 0022-3468 |
| Popis: | Introduction Rectal atresia/stenosis is a rare disorder in the spectrum of anorectal malformations and is particularly associated with a presacral mass. These patients are born with a normal anal canal but have a stricture or complete atresia located a few centimeters proximal to the dentate line. We present a surgical technique for the management of these patients, as well as their unique clinical concerns and outcomes. Methods We reviewed the records of 14 patients with rectal atresia and 3 with rectal stenosis. We describe a novel technique that we have developed for the preservation of the anterior dentate line that was performed in the last 13 patients. Results Rectal atresia/stenosis was associated with a presacral mass in 5 patients (29%). Definitive repair was completed using a circular rectorectal anastomosis in the first 4 patients and an anterior dentate line sparing procedure in the last 13. All patients older than 3 years have demonstrated the ability to have voluntary bowel movements. Conclusion With the largest reported series of rectal atresia/stenosis, we have demonstrated a safe and effective technique for repair. Preoperative evaluation must be thorough because a significant number of these patients will have an associated presacral mass. |
| Databáze: | OpenAIRE |
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